Provider Demographics
NPI:1174064182
Name:SAVIOR HOME IMPROVEMENT LLC
Entity type:Organization
Organization Name:SAVIOR HOME IMPROVEMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:LASSEIGNE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:985-790-3870
Mailing Address - Street 1:6153 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-1754
Mailing Address - Country:US
Mailing Address - Phone:985-262-0373
Mailing Address - Fax:
Practice Address - Street 1:6153 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-1754
Practice Address - Country:US
Practice Address - Phone:985-262-0373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA556155171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty